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SWPAC Donation Form

Social Workers Political Action Committee (SWPAC) Donation Form

Thanks you for your support!
Please make checks payable to: SWPAC

Mail to:

SWPAC c/o NASW Oregon Chapter
2929 SW Multnomah Blvd., #305
Portland, OR 97219

NOTE: Contributions to political action committees are eligible for the Oregon
Political Tax Credit, up to $50 ($100 for couples filing jointly) per year.

I am donating (check one):

$25 _____ $50 _____ $75 _____ $100 _____ Other $ ________

Name: ____________________________________ Phone: __________________

Address: ___________________________________________________________

E-mail: ____________________________________________Date: ____________

State Reporting Laws Require the Following Information:

Employer: __________________________________________________________

Employer Address: ___________________________________________________

Position/Title: ________________________________________________________